IPS E.max CAD-On Technique

All-Ceramics CAD/CAM
IPS e.max CAD-on technique
IPS e.max CAD-on technique --- Agenda

IPS e.max CAD IPS e.max CAD-on technique introduction, definitions
Materials for the IPS e.max CAD-on technique

Step by Step: How to produce a IPS e.max CAD-on restoration
IPS e.max CAD Lithium disilicate (LS2)
IPS e.max CAD (lithium disilicate) exhibit superior durability featuring 360 MPa of flexural strength. When fabricated to full-contour, the monolithic structure is the most robust ceramic crown tested to date.
360 MPa
flexural strength
Lithium disilicate combines high strength and high esthetics Broad indication range because of the high strength of 360 MPa depending upon on the indication Lithium disilicate offers flexibility when it comes to cementation
Various translucency levels and a comprehensive shade range allow versatile esthetic options

Innovative, unique lithium disilicate (LS2) glass ceramic IPS e.max CAD is milled in the intermediate state blue state
easy, quick and pecicely milling

The material strength and the esthetic properties are reached by a fast and easy crystallization process
IPS e.max processing techniques
Zirconiumoxide
Layering Technique (Nano-) Fluor-Apatite glass ceramic (Nano-) Fluor-Apatite glass ceramic
Lithium disilicate glass ceramic
IPS e.max processing techniques
360 MPa
> 900 MPa
Zirconiumoxide (ZrO2) veneered
Zirconiumoxide (ZrO2) and Lithium Disilicate (LS2)
IPS e.max CAD-on definition wording

Definition/ nameing
IPS e.max ZirCAD framework
material
IPS e.max ZirCAD
IPS e.max CAD superstructure
IPS e.max CAD
Fusion glass-ceramics
IPS e.max CAD Crystall./Connect
Fusion gap
Fusion process
IPS e.max CAD-on technique - indications
Single Crowns Blocked Crowns
3 4 unit-bridges
Implant superstructures (Single Crowns up to 3-4-unit bridge)
Processing restriction restorations in the anterior region may have esthetic deficits depending on the clinical case.
IPS e.max CAD-on
Materials for the IPS e.max CAD-on technique
IPS e.max CAD-on technique new materials

IPS e.max CAD HT B40
Lithium disilicate glass ceramic (LS2) blocs for the IPS e.max CAD-on technique High strength (360 MPa) Available only as HT (high translucency) in 10 shades (at the beginning) B40 blocs for the CAD-on technique can only be milled with the Sirona inLab 3D MC XL in conjunction with Software inLab 3D V3.81 or higher (Multilayer function)
! B40 block is not indicated for 3-unit bridges without ZrO2 support !
IPS e.max CAD-on technique - materials
IPS e.max ZirCAD High performance all-ceramic for dental applications (>900 MPa)
*The range of available products may vary from country to country.
blocs available in 3 pre-shaded colours (MO 0, MO 1, MO 2)
and in nine sizes

IPS e.max CAD Colouring Liquids* for individual colouring Excellent biocompatibility and low heat conductivity
adhesive, self-adhesive or conventional cementation

IPS e.max CAD Crystall./Connect especially developed fusion glass ceramic High flexural strengh Predosed, ready to use mixture in a Single Dose Flowable under vibrations; stable without vibrations 9 shades (1-9) harmonized with IPS e.max CAD HT and IPS e.max ZirCAD MO shades leads to a homogenious ceramic bond between IPS e.max CAD (LS2) and IPS e.max ZirCAD (ZrO2) Ivomix (vibration device) for optimal processing of the IPS e.max CAD Crystall./Connect
IPS e.max CAD Crystall./Connect - material properties
glass-ceramics
CTE (100 400 C): 9.49 10-6 K-1 CTE (100 500 C): 9.22 10-6 K-1
20 m
Biaxial flexural strength: 160 MPa

according to ISO 6872:2008(E) >50 MPa
Chemical Solubility: 10 g/cm2

according to ISO 6872:2008(E) <100 g/cm2
IPS e.max CAD-on material combination table

tooth shade = IPS e.max ZirCAD + IPS e.max CAD Crystall./Connect + IPS e.max CAD example:
(+
shades, stains)
A2 = ZirCAD MO 1 (MO 0 + CL 1) + Crystall./Connect 4 + IPS e.max CAD HT A2 Kombinationstabelle tooth shade

BL 1 BL 2 BL 3 BL 4 A1 A2 A3 A3,5 A4 B1 B2 B3 B4 C1 C2 C3 C4 D2 D3 D4
optional
IPS e.max ZirCAD

precoloured
MO 0
MO 1
MO 2
---
MO 1
---
MO1
---
IPS e.max ZirCAD

uncoloured +
MO 0
IPS e.max ZirCAD Colouring Liquid IPS e.max CAD Crystall./Connect IPS e.max CAD HT IPS e.max CAD Crystall./Shade IPS e.max CAD Crystall./Shade Incisal IPS e.max CAD Crystall./Stain
MO 0 + CL 1
MO 0 + CL 2
MO 0 + CL 4
MO 0 + CL 1
MO 0 + CL 3
MO 0 + CL 1
MO 0 + CL 4
BL1
BL2
BL3
BL4
A1
A2
A3
A3,5
A4
B1
B2
B3
B4
C1
C2
C3
C4
D2
D3
D4
SH 0
SH 1
SH 2
SH 3
SH 4
SH 1
SH 2
SH 1
SH 2
white, creme, sunset, copper, olive, khaki, mahogany
IPS e.max CAD Crystall./Add-On Dentin and Incisal

IPS e.max CAD Crystall./Add-On Liquid allround
IPS e.max CAD Crystall./Add-On Connect for corrections at the fusion gap
IPS e.max CAD Crystall./Add-On Liquid longlife
IPS e.max CAD-on technique new kit

IPS e.max CAD-on for inLab Basic Kit A-D
IPS e.max CAD for inLab HT A1 B40 / 3 pcs. IPS e.max CAD for inLab HT A2 B40 / 3 pcs. IPS e.max ZirCAD for inLab MO 1 B40 L / 3 pcs. IPS e.max CAD Crystall./Connect 3 / 6.5g IPS e.max CAD Crystall./Connect 4 / 6.5g IPS e.max CAD Crystall./ Shades, Stains, Glaze IPS e.max CAD Crystall./Add-on Dentin 5g IPS e.max CAD Crystall./Add-on Connect 5g IPS e.max CAD Crystall./Add-on Liquid allround and longlife IPS e.max CAD Crystallization Tray + Pins IPS Object Fix Flow IPS Spatula Ivomix
IPS e.max CAD-on technique STEP BY STEP
1. CAD/CAM processing
2. finishing of frame and superstructure
3. fusion process
4. characterisation, glazing
CAD/CAM processing
finishing of frame, superstructure
fusion process
characterisation glazing
IPS e.max CAD- technique
1. CAD processing with Sirona inLab 3D > V3.81
CAD/CAM processing
finishing frame, superstructure
fusion process
characterisation glaze
Model Preparation
Observe the guidelines the manufacturer of the CAD/CAM system.

If necessary use the IPS Contrast Spray labside before scanning.
CAD/CAM processing
fusion process
Model Preparation
Narrow ridge ,e.g lower jaw, need special preparation
Form a plattform e.g. with silicone or putty
CAD/CAM processing
fusion process
IPS e.max CAD-on technique - Designing

Software: inLab 3D V3.81 (Multilayer function)
CAD process: full anatomical design file split: 1.) IPS e.max ZirCAD frame 2.) IPS e.max CAD superstructure
Frame
superstructure Full anatomical design
2. Finishing
IPS e.max ZirCAD frame
CAD/CAM processing
fusion process
CAM Process with inLab MC XL
IPS e.max ZirCAD frame
CAD/CAM processing
fusion process
Finishing IPS e.max ZirCAD frame
Cut the frame from the block with diamond disk
No grinding on the margin
CAD/CAM processing
fusion process
No seperating with disk
No grinding or smoothing of the outer surface
CAD/CAM processing
fusion process
Measure the thickness next to the attachment
Reduce the attachment. Attention to the layer thickness.
CAD/CAM processing
fusion process
Attachment before and after grinding
IPS e.max ZirCAD frame before and after finishing
CAD/CAM processing
fusion process
Optional colour the frame with IPS e.max ZirCAD Colouring Liquids
Sintering with the Programat S1
CAD/CAM processing
fusion process
No grinding on the sintered IPS e.max ZirCAD frame
Do not use a diamond disk!
CAD/CAM processing
fusion process
Finally check the fit on the model
CAD/CAM processing
fusion process
2. Finishing
CAD/CAM processing
fusion process
Finishing of IPS e.max CAD superstructure
Cut the superstructure from the block with diamond disk
Check the fit of the superstructure on the frame
CAD/CAM processing
fusion process

(Verblendstruktur)
Corrections shoud be done on the superstructure
Contact of the superstructure and frame exclusively on the margin
CAD/CAM processing
fusion process

(Verblendstruktur)
In the pontic area no contact between superstructure and frame
Finish the margin with a silicone wheel
CAD/CAM processing
fusion process

(Verblendstruktur)
Do not serperate the superstructures with a diamond disk!
For grinding in the proximal area use a cone shape, fine grained diamond
CAD/CAM processing
fusion process

(Verblendstruktur)
Reduce the attachment.
Check the fit on the model superstructure and frame
CAD/CAM processing
fusion process

(Verblendstruktur)
Check the occlusion and articulation in the articulator
CAD/CAM processing
fusion process

(Verblendstruktur)
smooth out the surface structure created by the CAD/CAM process
Add textures on the outer surface
CAD/CAM processing
fusion process
Finishing of frame and superstructure
! No blasting of the superstructure or the frame

either with Al2O3 or glass beads !
CAD/CAM processing
fusion process
3. Fusion process
CAD/CAM processing
fusion process
Fusion process
Fix the Ivomix on a flat, smooth surface
Remix the IPS e.max CAD Crytsall./Connect on the Ivomix in the sealed Single Dose for appr. 10 seconds.
CAD/CAM processing
fusion process
Fusion process
Remove the foil completely
Check the consitency and remix with spatula on the Ivomix if necessary
!Do never ever add any liquid !

CAD/CAM processing finishing frame, superstructure fusion process characterisation glaze
Fusion process
Place the Single Dose in the finger clip and apply IPS e.max CAD Crystall./Connect on the occlusal on the frame with the IPS Spatula
Vibrate shortly for a even layer
CAD/CAM processing
fusion process
Fusion process
Apply IPS e.max CAD Crystall./Connect in the superstructure with the IPS Spatula
Apply too much IPS e.max CAD Crystall./Connect
CAD/CAM processing
fusion process
Fusion process
Spread the IPS e.max CAD Crystall./Connect using the Ivomix
Put the frame on the superstructure
CAD/CAM processing
fusion process
Fusion process
Use the Ivomix to slide the frame under light pressure in the correct position.
Stop vibrating when the frame and the superstructure are in contact.
CAD/CAM processing
fusion process
Fusion process
Clean the IPS e.max CAD restoration with the IPS Spatula on the outer side.
and remove all the access properly afterwards useing a brush.
CAD/CAM processing
fusion process
Fusion process
Fused, cleaned, unfired IPS e.max CAD restoration
CAD/CAM processing
fusion process
Fusion process
Control the fusion process with the articulator
Do not vibrate again!
CAD/CAM processing
fusion process
Fusion process
For easy positioning fill the cavity with a little bit of IPS Object Fix Putty or Flow
Place the restoration in the center of the IPS e.max CAD Crystallization Tray and fire using the stipulated parameters.
CAD/CAM processing
fusion process
Fusion process
Fire the restoration using the parameters for the Fusion-/Crystallization firing
Do not place the restoration at the edge of the IPS e.max CAD Crystallization Tray
CAD/CAM processing
fusion process
Fusion process
compatible furnaces
for the fusion-/crystallisation firing the pre-drying function is necessary only furnaces with this function can be used !
Furnace
P300
firing
Fusion/Crystallization firing
P500
P700
EP 3000
EP 5000
CS
Software update V5.1
manual programming
manual programming
As off the IDS 2011
manual programming
Not possible
Charakterisation/Glaze
manual programming
Fusion process
Do not blast the restoration with Al2O3
Remove residue with ultrasound in a water bath
CAD/CAM processing
fusion process
Fusion process
Check the fit on the model.
Smooth the margin if neccessary with a fine diamond.
CAD/CAM processing
fusion process
IPS e.max CAD-on technique
4. Characterisation and Glazing
Do not use any IPS e.max Ceram powders, shades, glaze materials on IPS e.max CAD-on restorations
Characterisation and Glazing
For characterisation and glazing use only the IPS e.max CAD Crystall./Shades, Stains and glaze
Apply the IPS e.max CAD Crystall./Glaze on the complete resoration.
CAD/CAM processing
fusion process
For characterisation apply the IPS e.max CAD Crystall./Sahdes and/or stains in the unfired glaze.
characterzied the basal area of the pontic as well as the zirconia margin.
CAD/CAM processing
fusion process
For easy positioning fill the cavity with al little bit of IPS Object Fix Putty or Flow
Place the restoration in the center of the IPS e.max CAD Crystallization Tray and fire using the parameters for characterisation/glaze firing.
CAD/CAM processing
fusion process
Remove restoration from the furnace after completion of the firing cycle (wait for the acoustic signal of the furnace).
Finished restoration
CAD/CAM processing
fusion process
R. Watzke, IV/Liechtenstein
single crown13,14; bridge 15-17

IPS E.max CAD-On Technique - September 2010 - e

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All-Ceramics CAD/CAM

IPS e.max CAD-on technique --- Agenda

Materials for the IPS e.max CAD-on technique

IPS e.max CAD Lithium disilicate (LS2)

IPS e.max CAD Lithium disilicate (LS2)

IPS e.max CAD Lithium disilicate (LS2)

easy, quick and pecicely milling

IPS e.max CAD Lithium disilicate (LS2)

IPS e.max processing techniques

Lithium disilicate glass ceramic

IPS e.max processing techniques

> 900 MPa

Zirconiumoxide (ZrO2) veneered

Zirconiumoxide (ZrO2) and Lithium Disilicate (LS2)

IPS e.max CAD-on definition wording

IPS e.max CAD superstructure

IPS e.max CAD

IPS e.max CAD Crystall./Connect

IPS e.max CAD-on technique - indications

Single Crowns Blocked Crowns

IPS e.max CAD-on

Materials for the IPS e.max CAD-on technique

IPS e.max CAD-on technique new materials

IPS e.max CAD-on technique - materials

blocs available in 3 pre-shaded colours (MO 0, MO 1, MO 2)

and in nine sizes

adhesive, self-adhesive or conventional cementation

IPS e.max CAD-on technique new materials

IPS e.max CAD Crystall./Connect - material properties

Biaxial flexural strength: 160 MPa

Chemical Solubility: 10 g/cm2

IPS e.max CAD-on material combination table

A2 = ZirCAD MO 1 (MO 0 + CL 1) + Crystall./Connect 4 + IPS e.max CAD HT A2 Kombinationstabelle tooth shade

IPS e.max ZirCAD

IPS e.max ZirCAD

white, creme, sunset, copper, olive, khaki, mahogany

IPS e.max CAD-on technique new materials

IPS e.max CAD Crystall./Add-On Dentin and Incisal

IPS e.max CAD-on technique new kit

IPS e.max CAD-on technique STEP BY STEP

2. finishing of frame and superstructure

finishing of frame, superstructure

IPS e.max CAD- technique

1. CAD processing with Sirona inLab 3D > V3.81

finishing frame, superstructure

Observe the guidelines the manufacturer of the CAD/CAM system.

finishing frame, superstructure

Narrow ridge ,e.g lower jaw, need special preparation

Form a plattform e.g. with silicone or putty

finishing frame, superstructure

IPS e.max CAD-on technique - Designing

superstructure Full anatomical design

IPS e.max CAD- technique

IPS e.max ZirCAD frame

finishing frame, superstructure

CAM Process with inLab MC XL

IPS e.max ZirCAD frame

IPS e.max CAD superstructure

finishing frame, superstructure

Finishing IPS e.max ZirCAD frame

Cut the frame from the block with diamond disk